Bioethical considerations

•We consider several core ethical dimensions of posttransplant pregnancies.•We present the current clinical and social science posttransplant pregnancy research.•We address the psychosocial and ethical issues surrounding preconception counseling.•We address the psychosocial and ethical issues of posttransplant health quality of life regarding pregnancy and mothering.•We suggest areas for future research.

The clinical literature notes that pregnancy has become an expected benefit of solid organ transplant. Establishing “best practices” in the management of this particular transplant population requires careful consideration of the ethical dimensions, broadly speaking, of posttransplant pregnancies and these women's lived experiences. In this article, we present the current clinical and social science posttransplant pregnancy research. We specifically address the psychosocial and ethical issues surrounding preconception counseling and posttransplant health quality of life and mothering and suggest areas for future research.